AAA: Assessment, Alignment, Action Presented by Hailey de Anda, Akeshia Johnson Smothers, and Jaseudia Killion

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• Learning objectives • Introduction of presenters • Overview of the Austin/Travis County; HIV Planning Council and Fast-Track Cities • Techniques to ensuring local alignment • Leveraging local alignment for Ending the HIV Epidemic application and grants • Next steps and Lessons Learned

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Learning Objectives

• Demonstrate an understanding of models to structure a HIV Planning Council/Fast Track Cities/ Ending the Epidemic collaboration; • Identify plan alignment techniques; • List Plan Alignment tools to strategically parallel efforts and identify

priorities; and • Identify first steps toward creating a lo cally tailored Ending the

Epidemic initiative.

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Akeshia Johnson Smothers

• Austin Area HIV Planning Council Member

• Interim Social Services Policy Unit Manager with Austin Public Health (APH)

• Three year managing the HIV/STI Prevention services at APH

• Over 13 years of work in Public Health Follow up (Disease Intervention)

• Over 25 years of HIV/STI work/experience

• Masters of Social Work from Southern University New Orleans

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Hailey de Anda

• Interim Manager, Planning and Evaluation Unit, Austin Public Health

• Two years with the Office of Support for Ryan White Part A

• Eight years conducting health assessments and creating improvement plans based on

• Ten years in the public health field

• MPH from Texas A&M Health Science Center, School of Public Health

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Jaseudia S. Killion

• Ryan White Part A Public Health Planner II, Austin Public Health

• 2015 CDC's Public Health Associate Program (PHAP) Cohort

• Ten Years of Public Health Experience i n Infectious Disease, Violence & Injury Prevention, and Maternal & Child Health

• Master of Public Administration from the U niversity of Memphis

• The George Washington School of Public Health, Master of Public Health

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Community driven efforts to end HIV in Austin, Travis County and surrounding areas • HIV Planning Council • Fast-Track Cities

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Planning Council Members

Austin Transitional Grant Area The Austin TGA utilizes over $5 Million in Ryan White Part A funds to provide services in five counties.

Executive Committee Members

• The Austin TGA has a population over 2 million people

• Most of the TGA population is White (51%) followed by Hispanic (34%). African Americans make up 7% of the Austin TGA

• The largest city, Austin, lies in Travis County, where the majority (80%) of People Living with HIV (PLWH) reside

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HIV Population-Based Care Continuum for Austin Area, 2018

• 276 new HIV diagnoses in 2018. • 1,513 HIV cases are estimated to

be undiagnosed, making the estimated HIV/AIDS prevalence to be 7,958.

• Disproportionately impacted populations include: • Transgender Women, • Latinx MSM, • African American MSM, and • African American Women.

6,000

5,000

4,000

3,000

2,000

1,000

0

6,445

5,442 5,063

4,560

100%

80%

60%

40%

20%

0% HIV+ Individuals Living at At Least One Visit/Lab Retained In Care Achieved Viral Suppression

end of 2018

(Source: 2019 Ryan White Part A grant application – Health Service Delivery Area)

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Austin and Travis County Fast Track Cities

On June 20th, 2018, Austin Mayor Steve Adler and Travis County Judge Sara

Eckhardt signed the Paris Declaration on Fast-Track Cities

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Current Status of FTC Goals in Travis County

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How to leverage HIV Planning Council and Fast-Track Ci ties for collaboration • Structure of HIV Planning Council and Fast-Track Cities • Alignment of the HIV planning council

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HIV Planning Council Structure

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Executive Committee Agency CEO’s and/or

decision makers

Core Coordinating Committee

Prevention Testing & Rapid Linkage

Retention, Reengagement & Viral Suppression

Ending Stigma

Fast-Track Cities Structure

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Linkage

Fast-Track Cities HIV Planning Council

Executive Committee Agency CEO’s and/or

decision makers

Core Coordinating Committee

Prevention Testing & Rapid Linkage

Retention, Reengagem ent & Viral

Suppression

EndingStigma

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Techniques to build consensus and broad support • Alignment of plans • Transparent and open processes for HIV Planning Council and Fast-Track Cities • Reconciling data

Cultivate a Stigma-Free Climate

Strategy Activity Coordinated social marketing campaign

Accurate Messages U=U messaging

Oral History

Define Stigma Shared Language Develop Language Guide

Normalize HIV Testing Expand Opt-Out HIV Testing

Policy and Advocacy

Advocate for Comprehensive Sex Education

World AIDS Day ✓ ✓

Achieving Fast Track HIV Planning Together Cities Council

✓ ✓ ✓

✓ ✓

✓ ✓

✓ ✓

✓ ✓

✓ ✓ ✓

✓ ✓ ✓

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Fast Track Cities Goal Alignment

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Open and Transparent Meeting

HIV Planning Council • Open application process for

new members • Open meetings • Meeting materials publicly

accessible • Public comment allowed

Fast-Track Cities • Workgroups open to anyone

who is interested in participating • Quarterly consortiums where

the general public can learn about FTC efforts

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Reinforcement of efforts

• Findings from FTC and HIV Planning Council start to align and overlap • Conflicted PC members can participate in FTC meetings with local AA

and have dialogue without creating a c onflict of interest • Assessment efforts complement each other and support each other's

findings • Variable opportunities for interested parties to become a part of local

efforts through either FTC or HIV Planning Council • Some community members are interested in being on the Council • Some can attend consortiums

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Reconciling Data Fast Track Cities: • Austin • Travis County

Austin TGA: • Bastrop • Caldwell • Hays • Travis • Williamson

Delivery Area (HSDA): • Travis, • Williamson • Bastrop • Caldwell • Hays • Blanco • Fayette • Lee • Llano

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Using federal funds to implement local plans • Overview of Ending the HIV Epidemic • Ending the HIV Epidemic Funds were used to promote local planning efforts

Leveraging alignment for grant applications

HIV Planning Council

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Ending the HIV Epidemic

Several funding opportunities were released related to Ending the HIVEpidemic.

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Ending the HIV Epidemic Grant #1

Planning Grant: STD Control Grant • Funder: CDC through Texas Department of State Health

Services • Purpose or role of funds: This funding is intended to

support the development of a community plan that will role-up into a state plan for Texas. The funds support FTC support staff, printing of FTC books and facilitation service to help us prioritize and do deep dives into the FTC’s plan.

Funding Amount: $80,000 for FTC Time Frame: October 2019-September 2020

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Ending the HIV Epidemic Grant #2 Funding Amount: Award for Year 1: $750,000. Remaining 4 years may range from $750,000 - $2 000, 000 Time Frame: March 2020-Febuary 2025

Ending the HIV Epidemic: Direct Services Grant: A Plan for America-Ryan White HIV/AIDS Programs Parts A and B • Funder: Health Resources and Services Administration • Purpose or role of funds: A portion of these funds will be used to support the FastTrack

Cities plan. The AA staff responsible for contracting out these funds will review Fast-Track Cities plan to identify what objectives and strategies will make appropriate funding opportunities for funds.

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Ending the HIV Epidemic Grant #3

Programming Grant: Integrated HIV Programs for Health Departments to Support Ending the Epidemic • Funder: CDC through Texas Department of State

Health Services • Purpose or role of funds: A portion of these funds will

be contracted out by the AA staff in alignment with grant's action plan. A portion of the funds will pay for Fast-Track Cities staff support. Picking up where the Planning grant left off. This grant will also support contact tracking.

Funding Amount: Grant Awards delayed due to COVID-19 (expectant announcement August 2020 Time Frame: October 1, 2020-TBD

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In Closing • Lessons Learned • Next Steps

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Lessons Learned

• Frequent updates at HIV Planning Council and Fast-Track Cities meetings regarding activities and meetings of the other group. • Overlap in membership between groups • Open process for development of all deliverables with lots of

opportunities for input from all organizations • Identify similarities while also acknowledging differences between the

two efforts • Eliminate competition between planning efforts through alignment

and collaboration

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Next Steps

• Developing a better understanding and alignment with other Ending the HIV Epidemic grants in the community. • Ensuring alignment and updates between grant work plan and

community action plans. • Identifications of gaps in participation and recruitment to fill gaps. • Continue regular meetings and alignment.

• • •

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